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Case Report: Conservative Treatment of Adolescent Idiopathic Scoliosis Can Alter the Perception of Verticality. A Preliminary Study

Adolescent idiopathic scoliosis (AIS) is a lateral curvature of the spine of at least 10° Cobb's angle of unknown etiology. Some studies have found that patients with AIS have a Visual Verticality (VV) perception similar to healthy controls. This study aimed to analyze VV perception and postura...

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Autores principales: Zagalaz-Anula, Noelia, León-Morillas, Felipe, Andradre-Ortega, Juan Alfonso, Ibáñez-Vera, Alfonso Javier, de Oliveira-Sousa, Silvana Loana, Lomas-Vega, Rafael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7868533/
https://www.ncbi.nlm.nih.gov/pubmed/33569361
http://dx.doi.org/10.3389/fped.2020.609555
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author Zagalaz-Anula, Noelia
León-Morillas, Felipe
Andradre-Ortega, Juan Alfonso
Ibáñez-Vera, Alfonso Javier
de Oliveira-Sousa, Silvana Loana
Lomas-Vega, Rafael
author_facet Zagalaz-Anula, Noelia
León-Morillas, Felipe
Andradre-Ortega, Juan Alfonso
Ibáñez-Vera, Alfonso Javier
de Oliveira-Sousa, Silvana Loana
Lomas-Vega, Rafael
author_sort Zagalaz-Anula, Noelia
collection PubMed
description Adolescent idiopathic scoliosis (AIS) is a lateral curvature of the spine of at least 10° Cobb's angle of unknown etiology. Some studies have found that patients with AIS have a Visual Verticality (VV) perception similar to healthy controls. This study aimed to analyze VV perception and postural balance differences in patients with AIS depending on the management, either based on observation or conservative treatment. Eighteen patients with AIS were included in this study. Nine patients were managed based on observation. The other nine underwent conservative treatment, such as bracing or exercise. Subjective Visual Vertical (SVV) and posturographic parameters were measured and analyzed. In the SVV test, patients who underwent treatment showed poor constant error in absolute values and mean absolute error, with statistically significant differences (p < 0.05). Only the Romberg Quotient for sway area was within the limits of statistical significance for posturographic parameters, with a lower value for patients under observation. This study found worse perception of verticality in patients receiving some type of conservative treatment than patients receiving only observation; whereas posturography showed similar values in both observation and treatment groups. Our results can be interpreted as the effect of treatment on the previous verticality perception adapted to the curvature.
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spelling pubmed-78685332021-02-09 Case Report: Conservative Treatment of Adolescent Idiopathic Scoliosis Can Alter the Perception of Verticality. A Preliminary Study Zagalaz-Anula, Noelia León-Morillas, Felipe Andradre-Ortega, Juan Alfonso Ibáñez-Vera, Alfonso Javier de Oliveira-Sousa, Silvana Loana Lomas-Vega, Rafael Front Pediatr Pediatrics Adolescent idiopathic scoliosis (AIS) is a lateral curvature of the spine of at least 10° Cobb's angle of unknown etiology. Some studies have found that patients with AIS have a Visual Verticality (VV) perception similar to healthy controls. This study aimed to analyze VV perception and postural balance differences in patients with AIS depending on the management, either based on observation or conservative treatment. Eighteen patients with AIS were included in this study. Nine patients were managed based on observation. The other nine underwent conservative treatment, such as bracing or exercise. Subjective Visual Vertical (SVV) and posturographic parameters were measured and analyzed. In the SVV test, patients who underwent treatment showed poor constant error in absolute values and mean absolute error, with statistically significant differences (p < 0.05). Only the Romberg Quotient for sway area was within the limits of statistical significance for posturographic parameters, with a lower value for patients under observation. This study found worse perception of verticality in patients receiving some type of conservative treatment than patients receiving only observation; whereas posturography showed similar values in both observation and treatment groups. Our results can be interpreted as the effect of treatment on the previous verticality perception adapted to the curvature. Frontiers Media S.A. 2021-01-25 /pmc/articles/PMC7868533/ /pubmed/33569361 http://dx.doi.org/10.3389/fped.2020.609555 Text en Copyright © 2021 Zagalaz-Anula, León-Morillas, Andradre-Ortega, Ibáñez-Vera, de Oliveira-Sousa and Lomas-Vega. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Zagalaz-Anula, Noelia
León-Morillas, Felipe
Andradre-Ortega, Juan Alfonso
Ibáñez-Vera, Alfonso Javier
de Oliveira-Sousa, Silvana Loana
Lomas-Vega, Rafael
Case Report: Conservative Treatment of Adolescent Idiopathic Scoliosis Can Alter the Perception of Verticality. A Preliminary Study
title Case Report: Conservative Treatment of Adolescent Idiopathic Scoliosis Can Alter the Perception of Verticality. A Preliminary Study
title_full Case Report: Conservative Treatment of Adolescent Idiopathic Scoliosis Can Alter the Perception of Verticality. A Preliminary Study
title_fullStr Case Report: Conservative Treatment of Adolescent Idiopathic Scoliosis Can Alter the Perception of Verticality. A Preliminary Study
title_full_unstemmed Case Report: Conservative Treatment of Adolescent Idiopathic Scoliosis Can Alter the Perception of Verticality. A Preliminary Study
title_short Case Report: Conservative Treatment of Adolescent Idiopathic Scoliosis Can Alter the Perception of Verticality. A Preliminary Study
title_sort case report: conservative treatment of adolescent idiopathic scoliosis can alter the perception of verticality. a preliminary study
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7868533/
https://www.ncbi.nlm.nih.gov/pubmed/33569361
http://dx.doi.org/10.3389/fped.2020.609555
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